author_facet Kumari, N
Krishnani, N
Rawat, A
Agarwal, V
Lal, P
Kumari, N
Krishnani, N
Rawat, A
Agarwal, V
Lal, P
author Kumari, N
Krishnani, N
Rawat, A
Agarwal, V
Lal, P
spellingShingle Kumari, N
Krishnani, N
Rawat, A
Agarwal, V
Lal, P
Journal of Postgraduate Medicine
Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
General Medicine
author_sort kumari, n
spelling Kumari, N Krishnani, N Rawat, A Agarwal, V Lal, P 0022-3859 Medknow General Medicine http://dx.doi.org/10.4103/0022-3859.58926 <jats:sec> <jats:title>Background:</jats:title> <jats:p>Primary central nervous system (CNS) lymphoma is being increasingly recognized in immunosuppressed as well as immunocompetent individuals. It has a poor prognosis and the majority of these have diffuse large B-cell type of morphology.</jats:p> </jats:sec> <jats:sec> <jats:title>Aim:</jats:title> <jats:p>To categorize cases of primary CNS lymphoma according to the International Extranodal Lymphoma Study Group (IELSG) score and to correlate the score with reactive CD3 collar around blood vessels and necrosis.</jats:p> </jats:sec> <jats:sec> <jats:title>Materials and Methods:</jats:title> <jats:p>We reviewed the clinico-pathological, morphological and immuno-histochemical features of 30 cases of primary CNS lymphoma reported at our institute in the last nine years and categorized them according to the score given by IELSG.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>All our cases were HIV-negative and had diffuse large cell histology. Twenty-seven of the 30 cases were associated with poor prognostic factors of intermediate to high risk according to the IELSG score. Reactive CD3 collar around the blood vessels was seen in seven cases which had low to intermediate IELSG score. However, no significant statistical difference of perivascular reactive CD3 collar and necrosis was seen with IELSG score.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>Approximately 90% (27 cases) were associated with poor prognostic factors in the present study according to the IELSG score. Perivascular reactive CD3 collar was seen in cases with low to intermediate IELSG score. A larger study is required to further validate that the presence of reactive perivascular CD3 collar is associated with good prognosis. This histological marker could be supplemented with IELSG score to stratify the patients of primary CNS lymphoma according to their aggressiveness.</jats:p> </jats:sec> Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar Journal of Postgraduate Medicine
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series Journal of Postgraduate Medicine
source_id 49
title_sub Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_unstemmed Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_full Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_fullStr Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_full_unstemmed Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_short Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_sort primary central nervous system lymphoma : prognostication as per international extranodal lymphoma study group score and reactive cd3 collar
topic General Medicine
url http://dx.doi.org/10.4103/0022-3859.58926
publishDate 2009
physical 247-251
description <jats:sec> <jats:title>Background:</jats:title> <jats:p>Primary central nervous system (CNS) lymphoma is being increasingly recognized in immunosuppressed as well as immunocompetent individuals. It has a poor prognosis and the majority of these have diffuse large B-cell type of morphology.</jats:p> </jats:sec> <jats:sec> <jats:title>Aim:</jats:title> <jats:p>To categorize cases of primary CNS lymphoma according to the International Extranodal Lymphoma Study Group (IELSG) score and to correlate the score with reactive CD3 collar around blood vessels and necrosis.</jats:p> </jats:sec> <jats:sec> <jats:title>Materials and Methods:</jats:title> <jats:p>We reviewed the clinico-pathological, morphological and immuno-histochemical features of 30 cases of primary CNS lymphoma reported at our institute in the last nine years and categorized them according to the score given by IELSG.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>All our cases were HIV-negative and had diffuse large cell histology. Twenty-seven of the 30 cases were associated with poor prognostic factors of intermediate to high risk according to the IELSG score. Reactive CD3 collar around the blood vessels was seen in seven cases which had low to intermediate IELSG score. However, no significant statistical difference of perivascular reactive CD3 collar and necrosis was seen with IELSG score.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>Approximately 90% (27 cases) were associated with poor prognostic factors in the present study according to the IELSG score. Perivascular reactive CD3 collar was seen in cases with low to intermediate IELSG score. A larger study is required to further validate that the presence of reactive perivascular CD3 collar is associated with good prognosis. This histological marker could be supplemented with IELSG score to stratify the patients of primary CNS lymphoma according to their aggressiveness.</jats:p> </jats:sec>
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author Kumari, N, Krishnani, N, Rawat, A, Agarwal, V, Lal, P
author_facet Kumari, N, Krishnani, N, Rawat, A, Agarwal, V, Lal, P, Kumari, N, Krishnani, N, Rawat, A, Agarwal, V, Lal, P
author_sort kumari, n
container_issue 4
container_start_page 247
container_title Journal of Postgraduate Medicine
container_volume 55
description <jats:sec> <jats:title>Background:</jats:title> <jats:p>Primary central nervous system (CNS) lymphoma is being increasingly recognized in immunosuppressed as well as immunocompetent individuals. It has a poor prognosis and the majority of these have diffuse large B-cell type of morphology.</jats:p> </jats:sec> <jats:sec> <jats:title>Aim:</jats:title> <jats:p>To categorize cases of primary CNS lymphoma according to the International Extranodal Lymphoma Study Group (IELSG) score and to correlate the score with reactive CD3 collar around blood vessels and necrosis.</jats:p> </jats:sec> <jats:sec> <jats:title>Materials and Methods:</jats:title> <jats:p>We reviewed the clinico-pathological, morphological and immuno-histochemical features of 30 cases of primary CNS lymphoma reported at our institute in the last nine years and categorized them according to the score given by IELSG.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>All our cases were HIV-negative and had diffuse large cell histology. Twenty-seven of the 30 cases were associated with poor prognostic factors of intermediate to high risk according to the IELSG score. Reactive CD3 collar around the blood vessels was seen in seven cases which had low to intermediate IELSG score. However, no significant statistical difference of perivascular reactive CD3 collar and necrosis was seen with IELSG score.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>Approximately 90% (27 cases) were associated with poor prognostic factors in the present study according to the IELSG score. Perivascular reactive CD3 collar was seen in cases with low to intermediate IELSG score. A larger study is required to further validate that the presence of reactive perivascular CD3 collar is associated with good prognosis. This histological marker could be supplemented with IELSG score to stratify the patients of primary CNS lymphoma according to their aggressiveness.</jats:p> </jats:sec>
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spelling Kumari, N Krishnani, N Rawat, A Agarwal, V Lal, P 0022-3859 Medknow General Medicine http://dx.doi.org/10.4103/0022-3859.58926 <jats:sec> <jats:title>Background:</jats:title> <jats:p>Primary central nervous system (CNS) lymphoma is being increasingly recognized in immunosuppressed as well as immunocompetent individuals. It has a poor prognosis and the majority of these have diffuse large B-cell type of morphology.</jats:p> </jats:sec> <jats:sec> <jats:title>Aim:</jats:title> <jats:p>To categorize cases of primary CNS lymphoma according to the International Extranodal Lymphoma Study Group (IELSG) score and to correlate the score with reactive CD3 collar around blood vessels and necrosis.</jats:p> </jats:sec> <jats:sec> <jats:title>Materials and Methods:</jats:title> <jats:p>We reviewed the clinico-pathological, morphological and immuno-histochemical features of 30 cases of primary CNS lymphoma reported at our institute in the last nine years and categorized them according to the score given by IELSG.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>All our cases were HIV-negative and had diffuse large cell histology. Twenty-seven of the 30 cases were associated with poor prognostic factors of intermediate to high risk according to the IELSG score. Reactive CD3 collar around the blood vessels was seen in seven cases which had low to intermediate IELSG score. However, no significant statistical difference of perivascular reactive CD3 collar and necrosis was seen with IELSG score.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>Approximately 90% (27 cases) were associated with poor prognostic factors in the present study according to the IELSG score. Perivascular reactive CD3 collar was seen in cases with low to intermediate IELSG score. A larger study is required to further validate that the presence of reactive perivascular CD3 collar is associated with good prognosis. This histological marker could be supplemented with IELSG score to stratify the patients of primary CNS lymphoma according to their aggressiveness.</jats:p> </jats:sec> Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar Journal of Postgraduate Medicine
spellingShingle Kumari, N, Krishnani, N, Rawat, A, Agarwal, V, Lal, P, Journal of Postgraduate Medicine, Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar, General Medicine
title Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_full Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_fullStr Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_full_unstemmed Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_short Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_sort primary central nervous system lymphoma : prognostication as per international extranodal lymphoma study group score and reactive cd3 collar
title_sub Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
title_unstemmed Primary central nervous system lymphoma : Prognostication as per international extranodal lymphoma study group score and reactive CD3 collar
topic General Medicine
url http://dx.doi.org/10.4103/0022-3859.58926